MR. Johnny Josiah Meehan, LCSW

NPI #1003103458 in Boise, Idaho

Provider Information

NPI Number: 1003103458
Entity Type: Individual
Name: MR. Johnny Josiah Meehan, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 6, 2011
Last Updated: May 17, 2022

Practice Location

Address: 6855 W FAIRVIEW AVE
City: Boise
State: Idaho
ZIP Code: 83704-8046
Phone: (208) 323-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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